Serious diarrhea with weight loss caused by Capillaria philippinensis acquired in China: a case report

BMC Research Notes

Guogang Yan³  Guifen Lin¹  Saifeng Zhong¹  Bo Yang²  Yiyao Chen²  Gang Lv¹  Shiyun Qian¹  Yongdong Huang²  Zhigang Fan¹ 

[1] School of tropical and laboratory medicine, Hainan Medical University, Haikou, China;Department of Digestive Diseases, People’s Hospital of Hainan province, Haikou, China;School of nursing Hainan medical college, Haikou, China

关键词: China;    Capillaria philippinensis;    Intestinal capillariasis;    Diarrhea;   

Others  :  1165509
DOI  :  10.1186/1756-0500-5-554

 received in 2012-05-24, accepted in 2012-09-28,  发布年份 2012

【 摘 要 】

Background

Diarrhea caused by Capillaria philippinensis (C. philippinensis) has not been reported in any areas with the exception of Taiwan province in China. We herein report the misdiagnosis and subsequent management of a patient with diarrhea caused by C. philippinensis.

Case presentation

A 33-year-old woman from the outskirts of Danzhou city, Hainan province, China, had an 11-month history of chronic diarrhea with abdominal pain, edema, hypoalbuminemia, and severe weight loss. The patient was misdiagnosed at an outpatient clinic and one hospital. She was finally correctly diagnosed with C. philippinensis by stool examination. The patient was given a 30-days course of albendazole (400 mg/day) and had an uneventful and stable recovery.

Conclusion

Doctors cannot lose sight of patients’ dietary histories, must query stool examination results, and need to expand their knowledge of certain nonlocal and global diseases, especially those described in new case reports. Some diagnostic examinations must be performed repeatedly. Hainan province may be the epidemic focus of C. philippinensis.

【 授权许可】

   
2012 Fan et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Chitwood MB, Valesquez C, Salazar NG: Capillaria philippinensis sp.n. (Nematoda: Trichnellida), from the intestine of man in the Philippes. J Parasitol 1968, 54:368-371.
• [2]Chichino G, Bernuzzi AM, Bruno A, Cevini C, Atzori C, Malfitano A, et al.: Intestinal capillariasis (Capillaria philippinensis) acquired in Indonesia: a case report. Am J Trop Med Hyg 1992, 47:10-12.
• [3]Prasert S, Choosak N, Natthawut K: Human intestinal capillariasis in Thailand. World J Gastroenterol 2008, 14:506-510.
• [4]Soukhathammavong P, Sayasone S, Harimanana AN, Akkhavong A, Thammasack S, Phoumindr N, Choumlivong K, Choumlivong K, Keoluangkhot V, Phongmany S, Akkhavong K, Hatz C, Strobel M, Odermatt P: Three cases of intestinal capillariasis in Lao People’s Democratic Republic. Am J Trop Med Hyg 2008, 79:735-738.
• [5]Kang G, Mathan M, Ramakrishna BS, Mathai E, Sarada V: Human intestinal capillariasis: first report from India. Trans R Soc Trop Med Hyp 1944, 88:204.
• [6]Hoghooghi-Rad N, Maraghi S, Narenj-Zadeh A: Capillaria philippinensis infection in Khoozestan province, Iran: cases report. Am J Trop Med Hyg 1987, 37:135-137.
• [7]Lee SH, Hong ST, Chai JY, Kim WH, Kim YT, Song IS, Kim SW, Choi BI, Cross JH: A case of intestinal capillariasis in the Republic of Korea. Am J Trop Med Hyg 1993, 48:542-546.
• [8]Jone HC: Intestinal Capillariasis. Am Society for Microbiol 1992, 5:120-129.
• [9]Lu LH, Lin MR, Choi WM, Hwang KP, Hsu YH, Bair MJ, Liu JD, Wang TE, Liu TP, Chung WC: Human intestinal capillariasis (Capillaria philippinensis) in Taiwan. Am J Trop Med Hyg 2006, 74:810-813.
• [10]Hwang KP: Human intestinal capillariasis (Capillaria philippinensis) in Taiwan. Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1998, 39:82-85.
• [11]Chen CY, Hsieh WC, Lin JT, Liu MC: Intestinal capillariasis: report of a case. Taiwan Yi Xue Hui Za Zhi 1989, 88:617-620.
• [12]el-Karaksy H, el-Shabrawi M, Mohsen N, Kotb M, el-Koofy N, el-Deeb N: Capillaria philippinensis a cause of fatal diarrhea in one of two infected Egyptian sisters. J Trop Pediatr 2004, 50:57-60.
• [13]Cross JH, Basaca-Sevilla V: Experimental transmission of Capillaria philippinensis to birds. Trans R Soc Trop Med Hyg 1983, 77:511-514.
• [14]Coordinating office of the National survey on the important parasitic diseases: A national survey on current status of the important parasiticdiseases in human population. Chin J Parasitol Parasit Dis 2005, 23:332-339.
• [15]Zhu WY: A case of Paragonimiasis and Clonorchiasis caused by eating raw loach. Mod J Intergrated Trad Chin West Med 2008, 17:2379.
• [16]Fan SP, Sun MF: A case of Echinostoma Hortense first found in the human body in china and morphological observation of the worm. J Harbin Med University 1989, 23:161-163.
• [17]Zhang GG, Ling W, Liu DP, Chu GZ, Su WB, Mike K: Survey on the wintering waterbirds of Hainan island. Chin J Zool 2005, 40:80-85.